Reconciliation Officer

We are seeking a skilled and detail-oriented medical reconciliation Officer to join our team. The
Reconciliation Officer will be responsible for Ensuring the claims settlement in a correct way ,
resubmission and reconciliation process with the payer done smoothly in a right way . The ideal
candidate should have a strong medical background, be highly organized, detail-oriented, and
possess strong communication and interpersonal skills. They should be able to work effectively
as part of a team and manage a high volume of tickets while maintaining a high level of
accuracy and productivity. These activities should adhere to the organization’s agreed policies,
procedures, and guidelines.
About Yodawy
 

At Yodawy, we are on a mission to help people lead healthier lives by making access to
medication easier and affordable for everyone.
Yodawy is your modern-day digital pharmacy, powered by technology, advanced fulfillment
capabilities, and integrations with pharmacies, insurance companies, and healthcare providers.
This allows Yodawy to seamlessly manage prescriptions at scale and deliver medications to
patients, door-to-door, and nationwide. It’s simple, and it’s for everyone.
Launched in 2018 and headquartered in Cairo, Egypt, Yodawy quickly became a leader in its
space, partnering with 15+ leading insurance companies, 200+ corporate clients, and 2,500+
pharmacies across Egypt. With over 4 million prescriptions processed to date, and a team of
awesome people, we are reinventing the future of healthcare together, one prescription at a
time.
 

Role:-

• Ensure the claims settlement in correct status (accepted, pending, rejected)
•  Ensure the financial status of the batch is in correct status (total amounts of accepted,
  pending, rejected ones is equal to the total claimed amounts)
• Identify the rejected amounts with its reasons and classify it into valid and invalid
  deductions.
•  Communicate with the payer for the invalid deductions to get approval for resubmission
  process for these deducted amounts.
• Identify the valid deductions and classify it according to the role of each stakeholder in
  the operation.
• Communicate with the stakeholder and process owner with the valid deductions and put
  together the proper way to get rid of these mistakes that lead to deductions.
• Maintain a high level of accuracy and productivity while meeting
  established performance metrics and quality standards.
• Ensure every month that reconciliation with every payer is going on a smooth way